Brixworth Covid 19 Help
In this difficult time and recognising that during the upcoming weeks/months there will be people in Brixworth that will need additional help, due to requirements for isolation. As the residents of Brixworth we want to ensure we more connected and resilient as a village and as a community. During this time, we are want to make sure that Brixworth residents are looking out for one another, to help everyone stay safe and healthy.

If you are healthy and at low risk, you can be an be a community champion and help others across the village.. Sign up now, and pass the word on.

If you have to self-isolate but are healthy and wish to help, we need you too.

If you are in the vulnerable group and are not well enough or able to help, please also us know. We are able to assist you to make it easier for you.
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Email *
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First Name *
Surname *
Your Postcode *
Your Phone Number *
Which catagory are you in? *
What are you willing to do?
If you ticked to be a street Champion, please can you detail which street, and include numbers, if it not the whole street.
If you ticked "adding capacity to Key Services", please give details. We may contact you for further information.
If you are a plumber, electrician or other trade and want to be on the list of services still available, please provide details.
DBS Check
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If you have a DBS check from which organisation?
Are you happy for us to share your contact details with someone else who has signed up from a postcode/street near you? *
I agree that personal data relating to me which has been obtained by the Brixworth Covid 19 Help Group, including the personal data given by me on this form, may be held and processed either on computer or in manual records and may be disclosed to others who are part of this group. Your data will only be used to help the group and will not be disclosed to any 3rd parties not involved in the group. We will only hold your data until these crisis is over at, which point all databases connected with this will be deleted, along with *
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